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Campaign '08: Health Insurance

A couple of days ago I wrote about Health Care as an issue in the presidential campaign.  In that post I wrote,

“…Giuliani wants to allow health insurance policies to be sold across state lines. “

Among all the proposals for reforming the health care system in America, this proposal will likely have the most dramatic effect on the way health insurance operates in this country.  Currently, if you work for a company in the same state where their insurance policy is written, that policy has been approved by that state’s Department of Insurance or some equivalent office.  Each state has its own laws governing how insurance plans can be marketed, what they must cover, and the level of benefit.  So if you work for a company based in New York, your health insurance policy has been approved by the state regulators in New York, and therefore, meets New York regulations for insurance.


Giuliani’s proposal is to allow a group or individual residing in New York to purchase an insurance policy that has been approved by any state.  Giuliani’s proposal effectively forces the state insurance regulators and legislators to compete with each other.  Can you imagine the debate in the New York State Assembly over requirements for health insurance if they have to consider the legislation that governs policies approved by the state of Texas?  Eventually, the states with high regulatory requirements like New York and New Jersey will find that more and more health insurance policies will be sold in their state that skirt around their regulations.


What Giuliani is proposing is exactly the kind of proposal in which the authors of the Constitution empowered Congress to do, promote the unimpeded interstate trade of goods and services.  Insurance is one of the last remaining vestiges of interstate commerce controlled by the states.  Giuliani is right to propose this change.  The marketplace will move far more quickly to adapt to this new environment to make products that consumers want and need than any legislation or regulation that government can enact.


This posting and more like it can be found at The CommonMan Commentaries


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